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Outstanding Clinical Results

We're proud of the medical evidence demonstrating that our innovative care model is working to improve the health and quality of life of our members. Here is a sampling of the positive outcomes our programs are producing.


CCA One Care


For 2017, CCA One Care is the top-rated Medicare-Medicaid Plan in the country, according to the 2016 Medicare Advantage Prescription Drug Plan (MA-PD) CAPHS survey.*


80% of total Massachusetts One Care membership is enrolled in the CCA plan.


In 2015, CCA One Care ranked above the 90th percentile for Medicaid health plans for these key performance measures of healthcare quality:

  • Access to preventive and ambulatory healthcare services
  • Adherence to antipsychotic medications for people with schizophrenia
  • Blood testing for people with diabetes
  • Kidney monitoring in people with diabetes
  • Treatment of rheumatoid arthritis
  • Breast cancer screening
  • Medication for people with asthma

In 2015, CCA One Care performed well against national benchmarks on these quality measures identified as high priority by CMS and MassHealth:

  • Access to preventive and ambulatory health services
  • Getting appointments and care quickly
  • Engagement in alcohol/drug dependence treatment
  • Initiation of alcohol/drug dependence treatment
  • Follow-up (30-day) after hospitalization for mental illness
  • Controlling blood pressure
  • Medication adherence for oral diabetes medications
  • Hospital readmission rate
  • Annual flu vaccine
  • Customer service

Our Acute Community Care program reduces avoidable emergency room visits and hospital admissions for members with acute care needs.

  • Among One Care members who received ACC paramedic care, 89% of members were able to remain at home
  • Only 9% of One Care members who received ACC paramedic care had to be transported to the ER and only 2% were transported to inpatient care
  • Almost universal member satisfaction
 

 Our two community-based Crisis Stabilization Units successfully treat members with acute psychiatric crises, reducing the need for inpatient admissions.

  • 86% of individuals in our Crisis Stabilization Units have been diverted from inpatient facilities


CCA Senior Care Options


 CCA Senior Care Options received 4½ Stars out of 5 Stars on the 2017 Medicare quality ratings for overall plan quality.


 CCA Senior Care Options received 5 out of 5 Stars on the 2017 Medicare quality ratings in these key measures of quality of care for older adults:

  • Breast cancer screening
  • Annual flu vaccine
  • Monitoring physical activity
  • Adult body mass index (BMI) measurement
  • Annual medication review
  • Reducing risk of falling
  • Controlling blood pressure

CCA Senior Care Options reduced hospital admissions and readmissions for members, based on data compiled by CCA:

  • Admissions declined from 555 per thousand in 2011 to 388 in 2016, a decrease of almost 30%
  • 30-day hospital readmission rate declined by 10% from 2011 to 2016

76% of SCO members are nursing home certifiable, yet live safely and independently in the community with the supports we provide.

 


Our innovative Life Choices Palliative Care program shows excellent outcomes based on data compiled between 2009 and 2017 by CCA:

  • SCO members average only 1.6 days in ICU over the last six months of life
  • 64% of SCO members have created advance directives
  • 55% of SCO members are able to die at home or in nursing homes

*2016 patient survey, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Centers for Medicare & Medicaid Services.
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